The trochlear pre-ossification center: a normal developmental stage and potential pitfall on MR images View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2012-11

AUTHORS

Camilo Jaimes, Mauricio Jimenez, Diana Marin, Victor Ho-Fung, Diego Jaramillo

ABSTRACT

BACKGROUND: The hypertrophic changes that occur in the cartilage of an epiphysis prior to the onset of ossification are known as the pre-ossification center. Awareness of the appearance of the pre-ossification center on MR images is important to avoid confusing normal developmental changes with pathology. OBJECTIVE: The purpose of this study was to determine the characteristics of the trochlear pre-ossification center on MR imaging and examine age and gender differences. MATERIALS AND METHODS: We retrospectively analyzed MR images from 61 children. The trochleas were categorized into three types on the basis of signal intensity (SI). Trochlear types were compared to age and gender. RESULTS: There was no significant difference between the ages of boys and girls. Type 1 trochleas showed homogeneous SI on all pulse sequences. Type 2 trochleas demonstrated a focus of high SI in the epiphyseal cartilage on fat-suppressed water-sensitive sequences, with high or intermediate SI on gradient-echo images (pre-ossification center). Type 3 trochleas showed low SI on fat-suppressed water-sensitive sequences and gradient-echo images. Thirty-seven trochleas were described as type 1, sixteen as type 2 and eight as type 3. ANOVAs confirmed a statistically significant difference in the age of children with type 3 trochleas and those with types 1 and 2 (P < 0.001). Spearman rank correlations determined a positive relationship between trochlear type and age of the children (r = 0.53). CONCLUSION: Development-related changes in the trochlea follow a predictable pattern. The signal characteristics of the pre-ossification center likely reflect normal chondrocyte hypertrophy and an increase in free water in the matrix. More... »

PAGES

1364-1371

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00247-012-2454-7

DOI

http://dx.doi.org/10.1007/s00247-012-2454-7

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1006561582

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/22810145


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